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How can an insurer question the doctor/line of management?

Insurance companies are facing challenges- high pending cases, high claim ratios and paying crores of rupees just because doctor(s) won’t answer the query raised or the insurer does… …

Changing your Insurance product structure? Time to be CAREFUL!!!

Policy structures seldom change but when it changes, it results in a pool of challenges for the insurers- satisfy the regulator on one hand as well as ensure self-protection via a medical, legal……

Repudiated Insurance Case at a Legal Forum

An insurer repudiates a claim only after scrutinizing proper policy documents and analyzing whether it is rational. But despite that some grievances against the insurer reach the legal forum whose……

Pending Cases: D-JFM Scourage

December in geographies following Jan-Dec financial year and JFM quarter in India are crucial for the insurance industry; being the closing of the financial year. Industry operates under twin……

Medical Management

50-60% of death claims and 100% of health claims need prudent review of the clinical data for a well-informed decision. Unfortunately Claims Management is discussed in the context of administrative ov…

Demystifying Chronic Kidney Disease

50-60% of death claims and 100% of health claims need prudent review of the clinical data for a well-informed decision. Unfortunately Claims Management is discussed in the context of administrative……